Corrective osteotomy technique for a posttraumatic deviated nose

Posttraumatic nasal deformities may not be adequately corrected by conventional osteotomy techniques when the configuration of the nasal bone has been changed as a result of malunion. The purpose of this study is to present an osteotomy technique, including refracture along malunion sites and anatomic reduction of a malformed nasal bone, for the correction of a posttraumatic deviated nose. From March 2003 to May 2004, 27 patients, who underwent corrective rhinoplasty for the correction of bony pyramid deviation, were included in this study. Postoperative results were evaluated regarding nasal midline location, nasal symmetry, and nasal contour. All patients were also evaluated subjectively for cosmetic improvement, changes in breathing, and overall satisfaction. Objective results of the technique were excellent and patients' satisfaction levels were also very positive. The osteotomy technique presented in this study is simple, effective, and safe for correcting posttraumatic nasal deviation and also produces consistent results.